Addition of a dairy fraction rich in milk fat globule membrane to a high-saturated fat meal reduces the postprandial insulinaemic and inflammatory response in overweight and obese adults

Autor: Elieke Demmer, Angela M. Zivkovic, Nancy Rivera, Erik R. Gertz, Jennifer T. Smilowitz, J. Bruce German, Marta D. Van Loan, Tara S. Rogers
Rok vydání: 2016
Předmět:
0301 basic medicine
Postprandial inflammation: Saturated fat: Insulin: C-reactive protein: CVD: Cytokines [Milk fat globule membrane]
Endocrinology
Diabetes and Metabolism

Saturated fat
medicine.medical_treatment
030204 cardiovascular system & hematology
Overweight
PO
chemistry.chemical_compound
0302 clinical medicine
soluble intracellular adhesion molecule
MetS
Insulin
Meal
palm oil
Nutrition and Dietetics
CVD
Postprandial
sICAM
CRP
C-reactive protein

Cytokines
MetS
metabolic syndrome

medicine.symptom
CRP
incremental AUC
MFGM
Research Article
sICAM
soluble intracellular adhesion molecule

medicine.medical_specialty
Clinical Trials and Supportive Activities
Biology
iAUC
metabolic syndrome
C-reactive protein
03 medical and health sciences
PO
palm oil

Insulin resistance
Clinical Research
Internal medicine
Milk fat globule membrane
medicine
Obesity
Metabolic and endocrine
Nutrition
030109 nutrition & dietetics
Cholesterol
MFGM
milk fat globule membrane

Postprandial inflammation
medicine.disease
Atherosclerosis
iAUC
incremental AUC

Endocrinology
chemistry
Metabolic syndrome
Food Science
Zdroj: Journal of Nutritional Science
Popis: Meals high in SFA, particularly palmitate, are associated with postprandial inflammation and insulin resistance. Milk fat globule membrane (MFGM) has anti-inflammatory properties that may attenuate the negative effects of SFA-rich meals. Our objective was to examine the postprandial metabolic and inflammatory response to a high-fat meal composed of palm oil (PO) compared with PO with an added dairy fraction rich in MFGM (PO+MFGM) in overweight and obese men and women (n 36) in a randomised, double-blinded, cross-over trial. Participants consumed two isoenergetic high-fat meals composed of a smoothie enriched with PO with v. without a cream-derived complex milk lipid fraction ( dairy fraction rich in MFGM) separated by a washout of 1–2 weeks. Serum cytokines, adhesion molecules, cortisol and markers of inflammation were measured at fasting, and at 1, 3 and 6 h postprandially. Glucose, insulin and lipid profiles were analysed in plasma. Consumption of the PO + MFGM v. PO meal resulted in lower total cholesterol (P = 0·021), LDL-cholesterol (P = 0·046), soluble intracellular adhesion molecule (P = 0·005) and insulin (P = 0·005) incremental AUC, and increased IL-10 (P = 0·013). Individuals with high baseline C-reactive protein (CRP) concentrations (≥3 mg/l, n 17) had higher (P = 0·030) insulin at 1 h after the PO meal than individuals with CRP concentrations n 19). The addition of MFGM attenuated this difference between CRP groups. The addition of a dairy fraction rich in MFGM attenuated the negative effects of a high-SFA meal by reducing postprandial cholesterol, inflammatory markers and insulin response in overweight and obese individuals, particularly in those with elevated CRP.
Databáze: OpenAIRE